Answers Midterm Exam - NR 565 ( Latest 2023 / 2024 ) Study Guide (Notes Week 1 – 4) Advanced Pharmacology Fundamentals Chamberlain GRADED A+ Questions and Answers (Actual Exam)

Answers Midterm Exam - NR 565 ( Latest 2023 / 2024 ) Study Guide (Notes Week 1 – 4) Advanced Pharmacology Fundamentals Chamberlain GRADED A+ Questions and Answers (Actual Exam) Midterm Exam - NR 565 ( Latest 2023 / 2024 ) Study Guide (Notes Week 1 – 4) Advanced Pharmacology Fundamentals Chamberlain GRADED A+ Questions and Answer NR 565 Midterm Exam Study Guide Roles and Responsibilities of APRN Prescribers APRN prescriber is responsible for the final decision on which drug to use and how to use it. Degree of autonomy in this role and the breadth of drugs that can be prescribed vary from state to state based on the nurse practice act of that state. Nurse practitioner prescriptive authority is regulated by the State Board of Nursing for each state. • Advanced KnowledgeoAdditional knowledge, critical thinking, and assumption of a higher level of legal responsibility are required to assume the prescriber role Knowledge of medicine, pharmacology, and nursing intertwine in the NP role As a prescriber, it becomes the role and responsibility of the NP to determine the diagnosis for which the drug will be ordered, prescribe the appropriate drug, monitor the expected outcome of the drug, and incorporate a holistic assessment of the impact of disease and therapy on patient lives • Benefits of an APRN as PrescriberoAlternative treatment options are also part of the armamentarium that can be used to treat a given disorder and may interact with the pharmacotherapeutic intervention oAPRN look at the big picture and consider alternative treatment options and lifestyle changes oPatients are looked at in a holistic approach and include the patient in decision making regarding their care. oNP practice may thrive under healthcare reform because of the demonstrated ability of nurse practitioners to control costs and improve patient outcomes Prescriptive authority is the legal right to prescribe drugs. Full prescriptive authority affords the legal right to prescribe independently and without limitation. Recall that there are two components of prescriptive authority: (1) the right to prescribe independently and (2) the right to prescribe without limitation. The provider who prescribes independently is not subject to rules requiring physician supervision or collaboration. The provider who prescribes without limitation may prescribe any drugs, including controlled drugs, with the exception of schedule I drugs, which have no current medical use. Full practice authority is sometimes interpreted differently for advanced practiceregistered nurses (APRNs) and physicianassistants (PAs) because supervisory requirements vary for the two professions. APRN ROLE There are many different issues to acknowledge when writing a prescription. Important considerationsiinclude cost, current practice guidelines, medication interactions, side effects, and the need for monitoring. Prescription Components -Pt's full name and address -Prescriber's full name, address, telephone # and DEA # -Date of issuance -Prescriber signature -Drug name, dose, dosage form, amount -Directionsforuse -Refill instructions Refills There are a few things to consider when refilling a prescription. Questions you should ask yourself include the following: • • Is this a newer medication for this patient? • • Am I changing dose or frequency of the medication? • • Am I adding new medications to their regimen? • • Is the patient having undesired side effects? • • When do I expect to follow up with this patient? • • If the patient is requesting a refill by telephone, when was the last time I saw this patient? Do I need to see the patient again before refill? • • Is this a schedule II medication? Promoting positive drug therapy outcomes requires athoughtful and deliberateproactive approach to medication management. In this chapter we explore ways the provider can improve patient outcomes. Emphasis is placed on monitoring therapy, promoting adherence to therapy, and educating the patient. Patient Teaching for Drug Monitoring There are three primary reasons for drug monitoring: (1) determining therapeutic dosage, (2) evaluating medication adequacy, and (3) identifying adverse effects. When testing is needed for monitoring, include the following when providing patient teaching. • What: What test is needed? o Patients like to know what test is needed. Rather than telling them that a blood test is needed, let them know the type of blood test (e.g., a test of thyroid function or cholesterol levels). • When: When is testing required? o Testing can disrupt normal routines. Patients need to know, in advance, howoften testing is needed so they can make plans. • Where: Where will testing take place? o In some practices, testing takes place at locations other than the primary clinic. Patients who are unfamiliar with the area need directions to the testing site and where to go after arrival. • Why: Why is testing necessary? o Testing is often expensive and disruptive to daily lives. These